Method of pedicle division during laparoscopic right hemicolectomy affects lymph node yield and short-term outcomes.

Abstract:

BACKGROUND:Several ways of performing laparoscopic right hemicolectomy (RHC) have evolved. The vascular pedicle can be divided into extracorporeal (RHC-EC) or intracorporeal (RHC-IC). It is not known whether vessel ligation during RHC-EC is as central as during RHC-IC. We compare these approaches in terms of pathological and short-term clinical outcomes. METHODS:Patients undergoing elective laparoscopic RHC in a single centre (July 2013-September 2016) were identified. Data collection included operative details, length of stay, complications, specimen parameters including number and involvement of lymph nodes and recurrence. RESULTS:One hundred and sixty-nine patients were included (94 RHC-IC, 75 RHC-EC). For caecal and ascending colon cancers, mesocolic width was greater after RHC-IC than RHC-EC (7.9 cm versus 6.6 cm, P < 0.05), as was lymph node yield (19.5 versus 17.3, P < 0.05). There was no significant difference in length of colon resected, distal resection margin, number of positive nodes, proportion of node-positive tumours and R1 rate. Operative duration was higher for RHC-IC (163 min versus 91 min, P < 0.001), as was incidence of ileus (35% versus 15%, P < 0.05). Length of stay also tended to be higher (7.4 days versus 6.0 days, P = 0.19). There was no difference in disease recurrence (follow-up 12 months). Body mass index was positively correlated with lymph node yield for RHC-EC, but not for RHC-IC. CONCLUSION:Lymph node yield after laparoscopic RHC is adequate, whether the vascular pedicle is taken intracorporeal or extracorporeal, supporting the use of both approaches. RHC-IC yields more lymph nodes and greater mesocolic width, but involves a longer operation and higher incidence of ileus.

journal_name

ANZ J Surg

journal_title

ANZ journal of surgery

authors

Pal A,Stearns AT,Kapur S,Speakman CTM,Wharton RQ,Shaikh I,Hernon JM

doi

10.1111/ans.14504

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

1008-1012

issue

10

eissn

1445-1433

issn

1445-2197

journal_volume

88

pub_type

杂志文章
  • Modified elliptical rotation flap for sacrococcygeal pilonidal sinus disease.

    abstract:BACKGROUND:Although various surgical procedures have been described for pilonidal sinus disease, the best surgical technique is still controversial. The aim of this study was to evaluate the short-term results of modified elliptical rotation flap (MERF) for pilonidal sinus disease in terms of post-operative complicatio...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12818

    authors: Dizen H,Yoldas Ö,Yıldız M,Cilekar M,Dilektaşlı E

    更新日期:2014-10-01 00:00:00

  • Acute and chronic pseudo-obstruction: a current update.

    abstract::Acute colonic pseudo-obstruction (ACPO) and chronic intestinal pseudo-obstruction (CIPO) are distinct clinical entities in which patients present similarly with symptoms of a mechanical obstruction without an occlusive lesion. Unfortunately, they also share the issues related to a delay in diagnosis, including inappro...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.13148

    authors: Bernardi MP,Warrier S,Lynch AC,Heriot AG

    更新日期:2015-10-01 00:00:00

  • Predicting complications in hepatic resection for colorectal liver metastasis: the lymphocyte-to-monocyte ratio.

    abstract:BACKGROUND:Colorectal cancer is one of the most common malignancies worldwide; whilst approximately 20% of patients have hepatic disease at presentation. Hepatic resection remains the gold standard of care; however, it is associated with significant morbidity. We sought to establish whether the lymphocyte-to-monocyte r...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.14725

    authors: McCluney SJ,Giakoustidis AA,Segler A,Bissel J,Miller RL,Valente R,Hutchins RR,Abraham A,Bhattacharya S,Kocher HM

    更新日期:2018-11-01 00:00:00

  • Dedicated emergency theatres improve service delivery and surgeons' job satisfaction.

    abstract:BACKGROUND:There are well-described benefits to separating emergency and elective surgery. Geelong Hospital lacked the resources to implement a separate acute surgical unit, but instituted daily dedicated emergency general surgery operating sessions, managed by an on-site consultant. This study aims to assess the impac...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12001

    authors: Stupart DA,Watters DA,Guest GD,Cuthbert V,Ryan S

    更新日期:2013-07-01 00:00:00

  • Use of trastuzumab in Australia and New Zealand: results from the National Breast Cancer Audit.

    abstract:BACKGROUND:Trastuzumab increases disease-free and overall survival in HER-2-positive, early breast cancer. In 2007, the National Breast and Ovarian Cancer Centre recommended that patients with HER-2 positive cancers (node positive or node negative tumours >1 cm) be offered adjuvant trastuzumab with chemotherapy. The ai...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2011.05998.x

    authors: Whitfield R,Kollias J,De Silva P,Zorbas H,Maddern G

    更新日期:2012-04-01 00:00:00

  • Peritoneal carcinomatosis from colorectal cancer and small bowel cancer treated with peritonectomy.

    abstract:BACKGROUND:This study aims to assess the survival of patients who underwent peritonectomy, to assess the morbidity and mortality associated with the procedure and to review the published reports on the survival of patients with peritoneal spread of colorectal cancer (CRC). METHODS:Peritonectomy involves resection of a...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2006.03749.x

    authors: Shehata M,Chu F,Saunders V,Kam PC,Links M,Morris DL

    更新日期:2006-06-01 00:00:00

  • The learning curve in learning the curve: a review of Nuss procedure in teenagers.

    abstract:BACKGROUND:The Nuss procedure is a new minimally invasive repair for pectus excavatum that was first published in 1998. Modifications in technique are constantly evolving to minimize complications, especially bar displacement, which are higher in adolescents and adults. The present study reviews our early experience wi...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2005.03402.x

    authors: Ong CC,Choo K,Morreau P,Auldist A

    更新日期:2005-06-01 00:00:00

  • Assessment of hospital characteristics associated with improved mortality following complex upper gastrointestinal cancer surgery in Queensland.

    abstract:BACKGROUND:High hospital-volume and service capability are associated with improved mortality following complex cancer surgery. Using a population-based study in Queensland, we assessed differences in mortality following oesophagectomy and pancreaticoduodenectomy, comparing high- and low-volume hospitals stratified by ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15389

    authors: Narendra A,Baade PD,Aitken JF,Fawcett J,Smithers BM

    更新日期:2019-11-01 00:00:00

  • Splenic autotransplantation: a systematic review.

    abstract:BACKGROUND:Splenectomy is a surgical procedure indicated in a variety of medical conditions including trauma. Post-operatively, there is a lifelong risk of developing overwhelming sepsis from encapsulated bacteria, most commonly due to Streptococcus pneumoniae. Splenic autotransplantation has been proposed as a method ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.15383

    authors: Surendran A,Smith M,Houli N,Usatoff V,Spelman D,Choi J

    更新日期:2020-04-01 00:00:00

  • Acute cholecystitis or simple biliary colic after an emergency presentation: why it matters.

    abstract:BACKGROUND:Laparoscopic cholecystectomy (LC) is often performed during the index admission after emergency presentation for acute biliary pain. Many patients have acute cholecystitis (AC) that may increase operative difficulty and complications. Our primary aim was to assess the validity of Tokyo Guidelines (TG18) for ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15603

    authors: Nguyen CL,van Dijk A,Smith G,Leibman S,Mittal A,Albania M,de Reuver P,Hugh TJ

    更新日期:2020-03-01 00:00:00

  • Management options for rectal variceal bleeding in the setting of hepatic encephalopathy.

    abstract::Bleeding related to rectal varices associated with portal hypertension is rare but life-threatening, and requires prompt treatment. We reviewed the literature for patients with this complex presentation and current recommendations, and commented on a case at our institution of a 68-year-old man with Child-Pugh B alcoh...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.15982

    authors: Lee A,Suhardja TS,Nguyen TC,Chouhan HS

    更新日期:2020-05-14 00:00:00

  • Oncoplastic partial breast reconstruction improves patient satisfaction and aesthetic outcome for central breast tumours.

    abstract:BACKGROUND:Patients with centrally located tumours involving the nipple-areolar complex (NAC) who undergo breast-conserving treatment (BCT) are at high risk for breast deformity and asymmetry. Immediate oncoplastic breast reconstruction (OBR) can have a favourable impact on surgical outcome. METHODS:We retrospectively...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15078

    authors: Shechter S,Friedman O,Inbal A,Arad E,Menes T,Barsuk D,Gur E,Barnea Y

    更新日期:2019-05-01 00:00:00

  • Changing pattern of adrenalectomy at a tertiary referral centre 1970-2000.

    abstract:BACKGROUND:In 1987, a report from this unit described the changing indications for open adrenalectomy over a 15-year period. The indications for adrenalectomy had switched from it being the principal therapeutic procedure used in advanced breast cancer in the early 1970s, to being predominately performed for Cushing's ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2002.02454.x

    authors: Sidhu S,Bambach C,Pillinger S,Reeve T,Stokes G,Robinson B,Delbridge L

    更新日期:2002-07-01 00:00:00

  • Laparoscopic revision of gastric band surgery.

    abstract:AIM:To identify the outcome of laparoscopic revision of gastric band surgery with respect to percentage of excess weight lost (%EWL). METHODS:Analysis of a prospective database was then performed and %EWL was plotted with respect to time from initial procedure and also time from revision procedure. RESULTS:All revisi...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2009.05088.x

    authors: Bardsley S,Hopkins G

    更新日期:2010-05-01 00:00:00

  • Does surgical decompression in Ludwig's angina decrease hospital length of stay?

    abstract:INTRODUCTION:Ludwig's angina (LA) is an uncommon and potentially life-threatening condition of the upper aero-digestive tract that often requires the coordinated efforts of the surgical, anesthetic and intensive care teams to optimize management. The purpose of the present study was to investigate the documented clinic...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2010.05496.x

    authors: Rowe DP,Ollapallil J

    更新日期:2011-03-01 00:00:00

  • Paintings from the Cushing/Whitney Library of Yale University: the Eleventh Kenneth Fitzpatrick Russell Memorial Lecture - 2012.

    abstract::In the early years of the introduction of Christianity into China, one American medical missionary distinguished himself by his kindness and generosity towards the Chinese people, and also by his surgical prowess. Peter Parker (1804-1888) was a graduate from the Yale University Medical School and was also an ordained ...

    journal_title:ANZ journal of surgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1111/ans.12402

    authors: Low G

    更新日期:2013-12-01 00:00:00

  • Extended endoscopic endonasal skull base surgery: from the sella to the anterior and posterior cranial fossa.

    abstract::Skull base surgery has gone through significant changes with the development of extended endoscopic endonasal approaches over the last decade. Initially used for the transphenoidal removal of hypophyseal adenomas, the endoscopic transnasal approach gradually evolved into a way of accessing the whole ventral skull base...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/j.1445-2197.2011.05971.x

    authors: Oostra A,van Furth W,Georgalas C

    更新日期:2012-03-01 00:00:00

  • Pancreatic injury after thoracoabdominal aortic occlusion in a porcine model.

    abstract:BACKGROUND:The aim of this study was to investigate pancreatic injury after 45 min of thoracoabdominal aortic occlusion in a porcine model. METHODS:Twenty-four pigs were used. Six pigs underwent sham operation and 18 intravascular balloon thoracoabdominal aortic occlusions for 45 min. The animals were randomly killed ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2007.04098.x

    authors: Papakostas JC,Toumpoulis IK,Pappa LS,Arnaoutoglou HM,Kirou IE,Malamou-Mitsi VD,Kappas AM,Matsagas MI

    更新日期:2007-06-01 00:00:00

  • Long-term outcome of portomesenteric vein invasion and prognostic factors in pancreas head adenocarcinoma.

    abstract:BACKGROUND:The purpose of this study was to clarify the post-operative prognosis of pancreatic head cancer with pathologic portal vein (PV) or superior mesenteric vein (SMV) invasion. METHODS:From May 1995 to December 2009, preoperative, intra-operative and post-operative data from 276 patients who underwent pancreati...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12502

    authors: Jeong J,Choi DW,Choi SH,Heo JS,Jang KT

    更新日期:2015-04-01 00:00:00

  • Surgical volume influences survival in patients undergoing resections for stage II colon cancers.

    abstract:BACKGROUND:There is current interest in the correlation between surgical volume and outcomes. Survival in patients with rectal cancer appears to improve when carried out by surgeons who do high volumes of procedures. A similar correlation for patients with colon cancer has never been clearly established. The aim of thi...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1445-2197.2007.04270.x

    authors: Morris M,Platell CF

    更新日期:2007-10-01 00:00:00

  • Predicting occult malignancy in nipple discharge.

    abstract:BACKGROUND:This study was a retrospective analysis of patients who underwent minor or major duct surgery for pathological nipple discharge. The results of clinical examination, mammography, ultrasonography and cytodiagnosis of the nipple discharge were studied in order to predict those patients at risk of underlying or...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2010.05270.x

    authors: Alcock C,Layer GT

    更新日期:2010-09-01 00:00:00

  • Surgical outcomes of a randomized prospective trial involving patients with a proximal femoral fracture.

    abstract:BACKGROUND:An orthopaedic management/patient-focused care unit (OMPFCU) involving a dedicated orthopaedic-geriatrics liaison team was established at the Royal Brisbane Hospital in 1994 in an effort to safely accelerate rehabilitation of patients with proximal femoral fractures. METHODS:The surgical outcomes of the pat...

    journal_title:ANZ journal of surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1440-1622.2001.02019.x

    authors: Day GA,Swanson C,Yelland C,Broome J,Dimitri K,Massey L,Richardson H,Marsh A

    更新日期:2001-01-01 00:00:00

  • Surgical services: shaping future directions.

    abstract:BACKGROUND:Advances in surgical techniques and anaesthetic practise have facilitated a significant change in the way surgery is currently delivered. In particular, short stay surgery including ambulatory surgery has become the norm for the majority of surgical conditions. However, the planning of surgical services has ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2011.05955.x

    authors: MacLellan DG,Smyth T,Cregan PC,Lizzio J,Watt H

    更新日期:2012-01-01 00:00:00

  • The annual scientific conference: what does the future hold?

    abstract::It is now expected that medical practitioners around the world will engage in ongoing professional development. Many Colleges, medical associations and societies have made completion of appropriate continuing professional development (CPD) mandatory and medical registration in some jurisdictions is predicated on parti...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2008.04842.x

    authors: Hollands M,Miles C

    更新日期:2009-03-01 00:00:00

  • Paediatric constipation for adult surgeons--article 1: targeting the cause.

    abstract::Constipation is very common in all age groups and can be resistant to standard therapies, producing chronic morbidity. Childhood onset constipation frequently produces symptoms that persist into adulthood. Recent advances have been made in the diagnosis and treatment of childhood constipation that could have applicati...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/j.1445-1433.2004.03149.x

    authors: Sutcliffe JR,King SK,Southwell BR,Hutson JM

    更新日期:2004-09-01 00:00:00

  • Morgagni's hernia: believing is seeing.

    abstract::The original description by Morgagni of the anterior diaphragmatic defect that bears his name implies a paramedian defect and this may be true when acquired in adulthood. In contrast, the anterior diaphragmatic defect that is observed in children is central rather than paramedian, as is often assumed. Its central retr...

    journal_title:ANZ journal of surgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1111/j.1445-2197.2008.04641.x

    authors: McBride CA,Beasley SW

    更新日期:2008-09-01 00:00:00

  • Computed tomography in acute abdominal pain: an overused investigation?

    abstract:BACKGROUND:The use of computed tomography (CT) for the evaluation of patients presenting to the emergency department (ED) with acute abdominal pain has increased. We set out to investigate its effectiveness. METHODS:A prospective study conducted at a tertiary referral centre between August and September 2012, utilizin...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12360

    authors: Systermans BJ,Devitt PG

    更新日期:2014-03-01 00:00:00

  • Process measure aimed at reducing time to haemorrhage control: outcomes associated with Code Crimson activation in exsanguinating truncal trauma.

    abstract:BACKGROUND:Major trauma activation is a process that mobilizes personnel and resources required to care for severely injured patients. Exsanguinating truncal trauma patients require an additional response beyond major trauma activation aimed at expediting haemorrhage control. To address this requirement, 'Code Crimson'...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15650

    authors: Tovmassian D,Hameed AM,Ly J,Pathmanathan N,Devadas M,Gomez D,Hsu JM

    更新日期:2020-04-01 00:00:00

  • Isolated limb infusion with hyperthermia and chemotherapy for advanced limb malignancy: factors influencing toxicity.

    abstract:BACKGROUND:The isolated limb infusion (ILI) technique is a simpler and less invasive alternative to isolated limb perfusion, which allows regional administration of high-dose chemotherapy to patients with advanced melanoma and other malignancies restricted to a limb. METHODS:Patients from two institutions, treated by ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1445-2197.2012.06249.x

    authors: Duprat Neto JP,Mauro AC,Molina AS,Nishinari K,Zurstrassen CE,Costa OF,Belfort FA,Facure L,Fregnani JH

    更新日期:2014-09-01 00:00:00

  • Quantifying the lumbar spine movements of surgeons during surgical lists in a teaching hospital.

    abstract:BACKGROUND:Low back pain (LBP) is a common occupational musculoskeletal complaint among health professionals. No research has quantified lumbar movement patterns in the surgical workplace, identifying 'at risk' behaviours with objective measures. This project aimed to identify lumbar movement patterns and change in LBP...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.14812

    authors: Wartski M,Williams CM,Broughton NS,Bowles KA

    更新日期:2019-03-01 00:00:00